{"title":"<i>Streptococcus Pneumoniae</i> Meningitis Complicated by Hygroma and Vasculitis.","authors":"Abdelkader Dib, Johny Salem, Mohamad Dawood, Omar Osman, Mirna Fares","doi":"10.12890/2025_005132","DOIUrl":null,"url":null,"abstract":"<p><p>Hygroma and vasculitis are rare complications of meningitis, that are serious and potentially fatal. In this case report, we present a 71-year-old male diagnosed with <i>Streptococcus pneumoniae</i> meningitis who developed bilateral subdural hygroma and vasculitis despite appropriate treatment in the intensive care unit. The patient experienced seizures and persistent febrile episodes, leading to the diagnosis of these complications. Despite surgical and medical management, the patient's neurological status did not improve, and he remained comatose and was eventually transitioned to palliative care.</p><p><strong>Learning points: </strong>Bacterial meningitis can be complicated by rare events such as subdural hygroma and vasculitis.While surgical and medical interventions are essential, the outcomes often depend on the severity of initial infection and timely recognition of complications in order to adjust therapy as soon as possible.</p>","PeriodicalId":11908,"journal":{"name":"European journal of case reports in internal medicine","volume":"12 3","pages":"005132"},"PeriodicalIF":0.0000,"publicationDate":"2025-02-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11882001/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"European journal of case reports in internal medicine","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.12890/2025_005132","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/1/1 0:00:00","PubModel":"eCollection","JCR":"Q3","JCRName":"Medicine","Score":null,"Total":0}
引用次数: 0
Abstract
Hygroma and vasculitis are rare complications of meningitis, that are serious and potentially fatal. In this case report, we present a 71-year-old male diagnosed with Streptococcus pneumoniae meningitis who developed bilateral subdural hygroma and vasculitis despite appropriate treatment in the intensive care unit. The patient experienced seizures and persistent febrile episodes, leading to the diagnosis of these complications. Despite surgical and medical management, the patient's neurological status did not improve, and he remained comatose and was eventually transitioned to palliative care.
Learning points: Bacterial meningitis can be complicated by rare events such as subdural hygroma and vasculitis.While surgical and medical interventions are essential, the outcomes often depend on the severity of initial infection and timely recognition of complications in order to adjust therapy as soon as possible.
期刊介绍：
The European Journal of Case Reports in Internal Medicine is an official journal of the European Federation of Internal Medicine (EFIM), representing 35 national societies from 33 European countries. The Journal''s mission is to promote the best medical practice and innovation in the field of acute and general medicine. It also provides a forum for internal medicine doctors where they can share new approaches with the aim of improving diagnostic and clinical skills in this field. EJCRIM welcomes high-quality case reports describing unusual or complex cases that an internist may encounter in everyday practice. The cases should either demonstrate the appropriateness of a diagnostic/therapeutic approach, describe a new procedure or maneuver, or show unusual manifestations of a disease or unexpected reactions. The Journal only accepts and publishes those case reports whose learning points provide new insight and/or contribute to advancing medical knowledge both in terms of diagnostics and therapeutic approaches. Case reports of medical errors, therefore, are also welcome as long as they provide innovative measures on how to prevent them in the current practice (Instructive Errors). The Journal may also consider brief and reasoned reports on issues relevant to the practice of Internal Medicine, as well as Abstracts submitted to the scientific meetings of acknowledged medical societies.
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